Frank Ortiz

**** *. **** *****

Chicago IL, *****

Cell 312-***-****

ad1pwl@r.postjobfree.com

OBJECTIVE

To obtain a position in a firm where I can utilize my management skills and provide a positive contribution to the organization while gaining professional growth and development. EDUCATION

Robert Morris University, Chicago Illinois

Bachelor Degree in Business Administration (November 2006) Major: Health Care Management

Robert Morris University, Chicago Illinois

Associate Degree in Applied Science (November 2003) Major: Medical Assisting

SKILLS & QUALIFICATIONS SUMMARY

Administrative:

● Office Administration

● Staff Training and Development

● Billing Medicare & Medicaid

● Pre-Claim Review Submissions

● Provide Patient and Family Education

● Competent under stressful situations while enabling me to assist others

● Payroll

● Human Resources

● 15 Yrs. Experience in Home Health

Clinical:

● Examination room techniques and preparation

● Urinalysis Testing

● Perform Vital signs

● Administer Injections

● Blood Chemistries

● Physician orders

● Phlebotomy

EXPERIENCE

Brighter Days Home Health Agency, Chicago, Illinois (May 2010-Present) Alternate Administrator

● Ensure that policies and procedures meet federal,state, and accrediting organization

● Responsible for the financial solvency, planning and overall administration of the organization

● Develops strategic and short-term plans for organizational development

● Evaluate,Monitored, Supervise and Educate nursing, other staff to achieve mission goals of Agency

● Human Resources-Hiring and Credentialing of staff

● Payroll

● Ensuring that appropriate care is being provided according to all IDPH and CMS requirements

Brighter Days Home Health Agency, Chicago, Illinois (May 2009-Present) Biller/Office Manager

● DDE (Direct claim entry)

● Pre-Claim Review Submission

● Payment posting to patients account

● Retrieve Electronic Remittance Advice (ERA’s)

● Billing Raps (322’s) & Final Claims (329’s)

● Palmetto GBA Uploading Files and Downloading EOB’s remittance

● Create and print UB92 paper claim invoices

● Correct Medicare Return to Provider (RTP) Claims on-line via Medicare FSS system

● Good working knowledge of Home Health Medicare regulations, ensuring claims are in compliance with CMS guidelines with documentation prior to billing

● Oasis Submission

Brighter Days Home Health Agency, Chicago, Illinois (May 2008-May 2009) Administrative Assistant

● Data Entry

● Filing

● Assist with intake of new patients

● Contact personnel as requested

● Maintain accurate record of patient

● Coordinating Therapy

Professional Cleaning Company, Rolling Meadows, Illinois (July 2007-April 2008) Administrative Assistant

● Direct incoming calls

● Maintain files

● Data Entry

● Generated reports,spreadsheets, labels

● File documents

Pediatric Pilsen Community Center, Chicago, Illinois (April 2003-June 2007) Medical Assistant

● Measured vital signs of patients

● Assisted physician with patients

● Answered incoming calls

● Administered injections to children as requested by physician

● Prepared examination and procedures rooms

OTHER SKILLS

● Fluent in English/Spanish (Speaking, Writing, Reading)

● MS Office Suite

● Medical Terminology

● Spark Technology

● Ivans Lime Portal

● Axxess Software

● Palmetto GBA EServices

● CMS Pre-Claim Review Specialist

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